New Moles on Your Lips: What You Need to Know - Dermatology

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Black mole on the lips?


Hello Dr.
Cheng, about six months ago, I suddenly noticed a black mole on my upper lip while looking in the mirror.
I have heard that the sudden appearance of moles on the body is not a good sign.
Is my situation serious? What should I do?

xiang bu tong de ren, 20~29 year old female. Ask Date: 2005/03/19

Dr. Zheng Lizhen reply Dermatology


Hello: Please visit a dermatology specialty clinic for an accurate diagnosis and treatment.
Sincerely, Dr.
Cheng Li-Chen, Dermatology.

Reply Date: 2005/03/19

More Info


When it comes to the sudden appearance of new moles or spots on the skin, particularly on sensitive areas like the lips, it is essential to approach the situation with caution and awareness. The emergence of a new black mole on your upper lip, as you described, can be concerning, especially if it appears suddenly or changes in size, shape, or color.
Firstly, it is important to understand that moles, or nevi, are common skin growths that can vary in color, size, and shape. Most moles are benign, but changes in existing moles or the appearance of new ones can sometimes indicate underlying issues, including skin cancer. Melanoma, a serious form of skin cancer, can develop from existing moles or appear as new spots on the skin. Therefore, it is crucial to monitor any changes closely.

The "ABCDE" rule is a helpful guideline for evaluating moles:
- Asymmetry: If you draw a line through the mole, and the two halves do not match, it may be a concern.

- Border: Moles with irregular, scalloped, or poorly defined edges should be examined.

- Color: A mole that has multiple colors (brown, black, tan, red, white, or blue) is more suspicious.

- Diameter: Moles larger than 6mm (about the size of a pencil eraser) should be evaluated.

- Evolving: Any mole that changes in size, shape, or color, or that starts to itch or bleed, should be assessed by a healthcare professional.

Given that you noticed this mole about six months ago, it is advisable to consult a dermatologist for a thorough evaluation. A dermatologist can perform a physical examination and may recommend a biopsy if there are any concerns regarding the mole's characteristics. A biopsy involves removing a small sample of the mole for laboratory analysis to determine whether it is benign or malignant.

In addition to a physical examination, your healthcare provider may ask about your medical history, including any family history of skin cancer, sun exposure, and any changes in your skin. This information can help them assess your risk factors and determine the best course of action.

While waiting for your appointment, it is essential to protect your skin from further sun exposure, as UV rays can exacerbate skin issues and increase the risk of skin cancer. Use a broad-spectrum sunscreen with an SPF of at least 30, wear protective clothing, and seek shade when outdoors.

In summary, while the sudden appearance of a new mole can be alarming, it is not uncommon. However, it is crucial to take it seriously and seek professional medical advice. Early detection and intervention are key to effectively managing any potential skin issues, including melanoma. Remember, it’s always better to err on the side of caution when it comes to changes in your skin.

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